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71 spine procedures CMS may not pay for at ASCs in 2022

By Admin | August 02, 2021

ASC administrators are dismayed by CMS' proposal to bump 298 musculoskeletal-related procedures back to its inpatient-only list next year.

The proposal has been described as "an obvious step backwards" by administrators who question how much data CMS has collected to back up the "patient safety concerns" cited as the reason to remove the 298 procedures from its IPO list.

It has been less than a year since CMS removed the 298 procedures from its IPO list, with many surgery centers closed early in 2021 because of the COVID-19 pandemic.

The procedures that could be bumped back to the IPO list, which CMS has also proposed to reinstate, primarily relate to knee, hip, shoulder and spine. 

Here are the 71 spine-related procedures and their codes that CMS may not pay for at ASCs next year:

Note: CPT codes and descriptions, available on CMS' website, are subject to copyright of the American Medical Association.

CY 2021 CPT Code

CY 2021 Short Descriptor

CY 2021 Long Descriptor


Anesth sitting procedure

Anesthesia for procedures on cervical spine and cord; procedures with patient in the sitting position

To view the remaining 70 spine-related procedures at risk please see > 71 spine procedures CMS may not pay for at ASCs in 2022, by Becker's SpineReview

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